Supervision Application

NOTE: ICPPD will use the information provided on this application form for the sole purpose of programme-related admission, administration and communication. Information provided will be held securely in accordance with ICPPD’s data protection policy.

Additional Information from ICPPD
Course Fees are €2,750.00

• Applications must be accompanied by a deposit of €270, which is credited against course fees if the applicant is admitted onto the programme.

• Applicants entitled to a full refund of this deposit if they decide to cancel within 7 days of receipt of their application. Should an application be unsuccessful or cancelled by the applicant following this 7-day period, this deposit is retained.

• In applying and accepting a place on this programme, I agree to personal and professional requirements and ICPPD policies as laid out in the Quality Assurance Manual.

• Once an applicant accepts a place on an ICPPD programme, any fees paid become subject to ICPPD’s Financial Terms & Conditions, which are outlined in the ICPPD’s Quality Assurance policies in relation to refunds, payment plan, etc.

A statement of approximately 500 words outlining your reason for applying for this programme and demonstrating your suitability for the programme.
Certificates/Transcripts of your educational achievements (2nd and/or 3rd level)
Evidence of any other Course in Counselling and Psychotherapy, or equivalent qualification undertaken (Certificates etc)
If your first language is not English, evidence of English language proficiency e.g., successful completion of a course through English in the previous two years or English Language Proficiency Test (IELTS) with a minimum score of 6.5. Documentary evidence i.e., copy of certificate(s), transcripts etc. should be provided with the application.

Name

Date of Birth

Nationality

Tel - Home

Tel - Mobile

Address

Current Employment

Academic/Professional Qualification: (please attach documentary proof)

Minimum Entry Requirement met? (please indicate ONE, as relevant)

Min 4 years’ accredited (if a counsellor/ psychotherapist) Min 3 years’ post-qualification experience as a professional

Professional Membership Details

(i) Statement of Interest of no less than 300 words, clearly stating your desire to engage in this Supervision Training (i.e. why you wish to participate in this programme)

(ii) a Letter of Recommendation from your current Supervisor.

I certify that the information provided on this application (and in my letter) is accurate. I understand that withholding information or giving false information may result in a refusal of a place within ICPPD or in termination of my application/registration at ICPPD.

Diploma in Supervision across Professions - A Holistic Approach

Additional Information from ICPPDCourse Fees are €2,750.00

Additional Information from ICPPD
Course Fees are €2,750.00